Jason Hargrove Email & Phone Number

Augusta, Me, Us

Remote

Medicaid consultant focused on modernization, strategy, and solicitation support for state agencies.

Remote

Remote: Portland, Me

Manchester, Maine

• Develop client implementation process / strategy.• Create detailed plans for new client on-boarding and key issues.• Oversee all operational staff, internal systems and business processes.• Perform staff and operational assessments regarding quality and production.• Develop staff training and mentoring plans for development and quality improvement.• Ensure services meet quality and cost effectiveness standards.• Create and maintain profit and loss (P&L) financials and associated data models to assist with client valuation and forecasting.

Augusta, Maine

[Emdeon acquisition of Goold Health Systems (GHS) June 2013, Re-branded as Change Healthcare Nov. 2015]Continued leadership of multiple operational and delivery teams.• Serve as SME on various key projects as Implementation Manager, Project Manager and CMS Certification Lead. Key Projects Include: ⟩ Ohio PBM Services 04/2016-02/2017 ⟩ Illinois PBM Services 03/2014-03/2016• Participate in contract negotiations and the establishment of remote offices as required.• Responsible for the direction, coordination, oversight and completion of strategic projects. • Develop division-wide initiatives to increase operational and deployment efficiency.• Review project plans and resources for division-wide projects and ensure sufficient staffing levels and resources. Work with management to propose and justify modifications to staffing levels. • Authorize appropriate expenditures including equipment, supplies, and procured items to support business objectives.• Attend and make presentations to potential and current clients, management staff and others in areas of expertise or knowledge.• Assist with Pipeline and RFP selection, prepare cost estimates, timelines, scope, project plans and cost proposal responses.• Acquisition and transition assistance.

Augusta, Maine

Lead several operational and delivery teams including project management, general administration, HR, business development, finance, drug rebate, business process outsourcing, medical prior authorization, home health care assessments, pharmacy technical operations including technical call centers, data and business analysts. • Serve as SME on various key projects as Implementation Manager, Project Manager and CMS Certification Lead.Key Projects Include: ⟩ Iowa Medicaid Enterprise PBM 04/2012-10/2013 ⟩ Utah CMS certification support 2012• Develop companywide initiatives to increase operational and deployment efficiency.• Participate in contract negotiations, lease negotiations and the establishment of remote offices as required.• Review project plans and resources for company-wide projects and ensure sufficient staffing levels and resources. Work with management to propose and justify modifications to staffing levels. Coordinate and provide leadership to resolve conflicting priorities.• Authorize appropriate expenditures including equipment, supplies, and procured items to support business objectives.• Attend and make presentations to potential and current clients, management staff and others in areas of expertise or knowledge.• Manage the Business Development function and staff and pursue strategic opportunities in collaboration with the CEO and business development team. Assist with and oversee the development of cost estimates, timelines, scope, project plans and proposal responses.• Serve as HIPAA Privacy Officer

Augusta, Maine

Continued Leadership of Project and Administration Teams.• Serve as SME on various key projects as Implementation Manager, Project Manager and CMS Certification Lead. Key Projects Include: ⟩ Utah Medicaid POS/DRMS 03/2011-10/2011 ⟩ CMS certification of Wyoming Medicaid Pharmacy Fiscal Agent and PBM• Plan, organize, assign, direct, and evaluate the activities of the department.• Assist the CEO in contract adherence, contract negotiations, lease negotiations, and hiring processes. • Work with Business Development Director in the development of cost estimates, timelines, scope, project plans and proposal responses.• Oversee facility leases, maintenance, construction, and expansion as needed.

Augusta, Maine

Lead Project and Administration Teams.• Responsible for the direction, coordination, oversight, and completion of assigned strategic projects. Create and maintain a high level of confidence in the accuracy and completeness of project activities through on-time and quality deliverables.• Plan, organize, assign, direct, and evaluate the activities of the department including Project Management, Office Administration, and Facility Management.• Assist the CEO in contract adherence, contract negotiations, lease negotiations, and hiring processes. • Work with Business Development Director as requested in the development of cost estimates, timelines, scope, project plans and proposal responses.• Oversee facility leases, maintenance, construction, and expansion as needed.Key Projects Include: ⟩ Wyoming Pharmacy Fiscal Agent and PBM Services 06/2008-05/2009 ⟩ Maine Medicaid Mailroom and BPO (HCFA, UB, ADA) and Medical Prior Authorization (subcontract) ⟩ Iowa Medicaid Clinical Pharmacy Services (reprocurement) ⟩ Illinois Medicaid State Maximum Allowable Cost

Mba, Business Administration

MBA

Bs, Engineering Operations

Activities and Societies: Alpha Phi Omega - President 1994 & 1995